About Us

Washington Permanente Medical Group (WPMG) is a clinician-led, self-governed and independent multi-specialty group practice, providing care to the more than 700,000 Kaiser Permanente patients in Washington state. We work unencumbered by traditional health care obstacles and without silos; prioritizing people over profits, collaboration over ego, and driven by a singular goal: our patients' health. At WPMG, we take care of the whole person, with a team to address the fundamental, social, and emotional needs that contribute to total health. We are clinicians motivated by the desire to make a purposeful difference in the communities we serve, and in how health care is delivered.

Summary

Kaiser Permanente-Washington Permanente Medical Group is seeking a Part Time 0.5 FTE Reviewer for the Specialized Medical Ability Resource Program (SMART team) to join our WPMG HQ team in Renton, Washington.

Job Summary

The Reviewer will be an integral part of the Specialized Medical Ability Resource Program (SMARTeam) providing support to staff and members in need of assistance related to leave processes. The Reviewer deals with sensitive departmental and organizational matters, works independently, is responsible for auditing online requests for care gaps, completion of formulaic requests, and other duties as assigned. The position is expected to exercise latitude and judgment to perform job responsibilities and resolve problems within established procedures and guidelines.

Principal Duties & Responsibilities

• Monitor appointment completion and communicate to the reviewers.
• Complete formulaic requests following standard guidelines.
• Triage incoming staff messages, resolve or escalate as appropriate.
• Communicate effectively when working with clinicians to address disability related questions.
• Develop and maintain expertise in federal, state, and local disability related regulations and legislation, including, but not limited to FMLA, WPFMLA, etc., as well as Disability Duration Guidelines, and Milliman Criteria. Collaborates in on-going clinical review skills development and implementation of best practices.
• Outreach patients via phone and/or secure message to obtain information as appropriate (missing information on intake forms, coordination of appointments needed to fulfill certification requirements).
• Support WPMG goals and objectives to improve patient care, disability prevention and management.
• Other duties as required

Knowledge and Skill Required

Self-directed:

• Ability to work independently with indirect supervision and learn quickly to apply in-depth knowledge of department practices.

Problem Solving:

• Ability to problem solve and exercise good judgement in handling/releasing confidential/sensitive information.

Communication:

• Strong written and oral communication skills, with attention to detail and accuracy.
• Demonstrated customer service and interpersonal skills; ability to effectively communicate with all levels of management (internal/external), and staff.
• Intermediate knowledge of Microsoft Office Suite applications (Outlook, Planner, Word, Excel, PowerPoint, SharePoint, OneNote, etc.).
• Intermediate knowledge of the Epic HealthConnect system (preferred but not required)

Organization:

• Ability to attend to details, prioritize and complete multiple tasks independently in a fast-paced environment and following agreed upon timelines

Teamwork and Collaboration:

• Collaborates with Business Office staff (Patient Access Representatives), teams and leads in addressing disability related form completion issues and requests as needed.

Benefits

Benefits include: Medical/dental/vision benefits, 401(k) & employer-paid retirement contributions, paid vacation, long-term disability, long-term care benefits.

Community

Renton, with a population of 101,300, is located on the south shore of Lake Washington with spectacular views of the lake, the Olympics, the Cascades, and Mount Rainier. The Cedar River runs through the heart of downtown and offers an abundance of natural beauty and a run of federally endangered chinook salmon. The City is centrally located for access to the regions' transportation network, accessible by four state and three interstate highways, only minutes away from Seattle, Bellevue, Tacoma and Sea-Tac Airport. Renton's strong economic base, diverse marketplace and favorable business climate have attracted the attention of nationally recognized companies that are looking to provide employees and their families with an outstanding quality of life.

We are dedicated to building lifetime relationships with peers and patients in Washington State's richly diverse communities. Many know the Pacific Northwest as an attractive tourist destination with beautiful scenery, friendly people, and a host of cultural and recreational opportunities. These elements, and others, make Washington an excellent place to live.